Active NPI
Monique Estelle Selman, MFT
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1497264386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001869
- Practice address
- 9147 Marion Oaks Dr
Charlotte, NC 28215-2262 - Phone
- (937) 304-5384
- NPI assigned
- Sep 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61073171 | WA | |
| Marriage & Family Therapist | 106H00000X | 0717001869 | VA | Primary |
Addresses
Primary practice location
9147 Marion Oaks Dr
Charlotte, NC 28215-2262
Mailing address
9147 Marion Oaks Dr
Charlotte, NC 28215-2262
Phone (937) 304-5384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717001869 | VA | MD | Marriage & Family Therapist |
| LF61073171 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1497264386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9147 MARION OAKS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152262",
"telephone_number": "937-304-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9147 MARION OAKS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152262",
"telephone_number": "937-304-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELMAN",
"first_name": "MONIQUE",
"middle_name": "ESTELLE",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-24",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61073171",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.